Diabetes care cascade in Bangladesh: Identifying gaps and social determinants
Authors' conclusion
Significant gaps were observed at all stages of diabetes care cascade, particularly diagnosis. Strengthening screening, ensuring access to affordable treatment, and improving adherence are essential to enhance glycemic control and mitigating the diabetes burden.
Study context
- Population
- Individuals with T2D (FPG ≥7.0 mmol/L or diagnosis by a healthcare provider), Bangladesh Demographic and Health Survey 2022
- Participants
- 2,403 individuals
- Outcome
- Diabetes care cascade: diagnosis, receiving treatment and glycemic control
Methodological detailsnationally representative survey (Bangladesh Demographic and Health Survey (BDHS) 2022), logistic regression, Andersen's Behavioral Model
- Nationally representative survey (BDHS 2022)
- Logistic regression
- Andersen's Behavioral Model
Main finding
As reported in the abstract
Diabetes care cascade
- Diagnosed
- 33.5 %
- Received treatment
- 24.6 %
- Achieved glycemic control
- 9.6 %
- Loss at diagnosis
- 66.5 %
- Loss at treatment
- 9 %
- Loss at control
- 19.6 %
Observational data: associations, not effects.
Further findings
Determinants of diagnosis
- Women, higher education and wealthiest quintile had higher odds of diagnosis
Determinants of receiving treatment
- Receiving treatment significantly associated with wealth and BMI
Original publication
Diabetes care cascade in Bangladesh: Identifying gaps and social determinants. Diabetes Res Clin Pract. Published 5 May 2025. doi:10. 1016/ j. diabres. 2025. 112227
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